<%@ page contentType="text/html; charset=Cp1252"%>
<%@ taglib uri="/WEB-INF/struts-html-el.tld" prefix="html"%>

<html:html>
  <head>
    <title>asdfas</title>
    <html:base />
  </head>
  <body bgcolor="white">

    <p><strong>ASDFSAF</strong></p>

    <html:form action="teste">
      <table border="0">

        <!-- Name Field -->
        <tr>
          <td align="right"><b>adfasdf</b></td>
          <td align="left"><html:text property="name" size="20" maxlength="25" /></td>
          <td align="left"><font color="red"><html:errors property="name" header="empty"/></font>&nbsp;</td>
        </tr>

        <!-- Address Field -->
        <tr>
          <td align="right"><b>asdfdsa</b></td>
          <td align="left"><b><html:text property="address" size="20" maxlength="50" /></b></td>
          <td align="left"><font color="red"><html:errors property="address" header="empty"/></font>&nbsp;</td>
        </tr>

        <!-- Phone Field -->
        <tr>
          <td align="right"><b>asdfsadf</b></td>
          <td align="left"><b><html:text property="phone" size="20" maxlength="15" /></b></td>
          <td align="left"><font color="red"><html:errors property="phone" header="empty"/></font>&nbsp;</td>
        </tr>

        <!-- Date of Birth Field -->
        <tr>
          <td align="right"><b>asdfasd</b></td>
          <td align="left"><b><html:text property="dob" size="20" maxlength="10" /></b></td>
          <td align="left"><font color="red"><html:errors property="dob" header="empty"/></font>&nbsp;</td>
        </tr>

        <!-- Age Field -->
        <tr>
          <td align="right"><b>asdfsad</b></td>
          <td align="left"><b><html:text property="age" size="20" maxlength="5" /></b></td>
          <td align="left"><font color="red"><html:errors property="age" header="empty"/></font>&nbsp;</td>
        </tr>

        <!-- Buttons -->
        <tr align="center">
          <td colspan="2"><html:submit>asdfdas</html:submit>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
      </table>
    </html:form>

    <hr />
    <br />

  </body>
</html:html>
